Provider Demographics
NPI:1598516577
Name:IN HOME CARE OF THE VALLEY LLC
Entity Type:Organization
Organization Name:IN HOME CARE OF THE VALLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIORICA
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-256-2014
Mailing Address - Street 1:15453 W STATLER CIR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-1461
Mailing Address - Country:US
Mailing Address - Phone:623-256-2014
Mailing Address - Fax:623-414-3565
Practice Address - Street 1:15453 W STATLER CIR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-1461
Practice Address - Country:US
Practice Address - Phone:623-256-2014
Practice Address - Fax:623-414-3565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care